Sassone Scoring System in Differentiating Benign and Malignant Adnexal Masses.

BACKGROUND : Pelvic adnexal masses are seen among women of all age groups. An adnexal mass may be benign or malignant. Ultrasound is the first imaging study performed in female patient with pelvic symptoms. High operator dependence and extreme variability of macroscopic characteristics of ovarian tumor make a precise diagnosis difficult by sonography alone. To overcome these limitations, use of a sonographic scoring system has been advocated. AIM: To evaluate the usefulness of Sassone scoring system in differentiation of benign from malignant adnexal mass. METHOD(S): a prospecive cohort study was done from November 2013 to November 2015 on 56 patients admitted with adnexal mass. Preoperative sonography was done in all the patients. The data was used for calculation of Sassone score for probability of benignity and malignancy. The efficacy of the scoring system was evaluated by histopathological examination of the mass. RESULTS: Detailed sonographic examination with Sassone scoring system was able to identify all the benign and malignant adnexal masses as diagnosed by histopathological examination as a gold standard. The sensitivity and specificity of the Sassone scoring system was 94% and 88%. The positive and negative predictive values were 94% and 88% respectively. CONCLUSION: Sassone scoring system using gray scale ultrasonography is useful in differentiating a benign from a malignant adnexal mass and should be followed in routine practice